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New Mexico rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,380.38 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,949.84 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,862.09 / $2,884.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,041.74 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $15,135.61 / $56,234.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,949.84 / $2,754.23